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Wisconsin rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Facilitymedian $65 · 10th–90th $65–$4070%50%90th$65Professionalmedian $66 · 10th–90th $65–$810%50%10th90th$66$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $66.07 / $81.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $512.86